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HomeMy WebLinkAbout35645-Z Town of Southold Annex 9/26/2013 P.O. Box 1179 54375 Main Road ~ ~ Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36532 Date: 9/26/2013 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1275 GABRIELLA CT MATTITUCK, SCTM 473889 SecBlock/Lot: 108.-4-7.36 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/14/2010 pursuant to which Building Permit No. 35645 dated 6/14/2010 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: alterations and additions, including second floor balcony, deck with gazebo and hot tub covered with trellis to an existing one family dwelling as applied for. The certificate is issued to ALFRED & LISA TESTINY (OWNER) of [he aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 35645 9/23/13 - PLUMBERS CERTIFICATION DATED I/31/12 Joseph Tuomey - Aut ~ ed S' atura' FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35645 Z Date JUNE 14, 2010 Permission is hereby granted to: ALFRED & LISA TESTINY 1275 GABRIELLA CT MATTITUCK,NY 11952 for 2ND FLOOR ALTERATION (4 BEDROOM PER H.D.) & DECK ADDITION WITH HOT TUB AS APPLIED FOR. REPLACES EXPIRED BP # 33963 at premises located at 1275 GABRIELLA CT MATTITUCK County Tax Map No. 473889 Section 108 Block 0004 Lot No_ 007.036 pursuant to application dated JUNE 14, 2010 and approved by the Building Inspector to expire on DECEMBER 14, 2011. Fee $ 568.00 Authorized Signature ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PffitMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL `~J COMPLETION OF THE WORK AUTHORIZED) ~~`Q ~ PERMIT NO. 33963 Z Date JUNE 6, 2008 Permission is hereby granted to: ALFRED R TESTINY 1275 GABRIELLA CT MATTITUCK NY 11952 for : 2ND FLOOR ALTERATION {4BEDROOM PER H.D.) & DECK ADDITION WITH HOT TUB AS APPLIED FOR at premises located at 1275 GABRIELLA CT MATTITUCK County Tax Map No. 473889 Section 108 Block 0004 Lot No. 007.036 pursuant to application dated MAY 12, 2008 and approved by the Building Inspector to expire on DECEMBER 6, 2009. Fee $ 568.00 > -,1,~.i,r Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLll BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1 % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I . Accurate survey of property showing al I property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I . Certificate of Occupancy -New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00. Businesses $50.00. 2 Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. "temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building. (check one),~n Location of Property: ~ ~ ~ ~ ~ ~ I~J121 I ~ C+ _ I I ~ ~ 7TI7ylC.(L House No. /n~ Street Hamlet Owner or Owners of Property: ~t"~1Y>?G) ~ ~--15/+ TE'SI}~l~ Suffolk County Tax Map No 1000, Section ~ O gJ Block ~ Lot 'J Subdivision ` ~ Filed Map. Lot: Permit No. ~S~~S Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval Request for: Temporary Certificate Final Cer[ifica (check one) Fee Submitted: $ Applicant Signature ~rO~~ SUpTyol Town Hall Annex ~ ~ O Telephone (631) 765-1802 54375 Main Road ~ Fax (631) 765-9502 P.o. sox n79 ~ rogecrichert(ciltown.southold.ny.us Southold, NY 1 1 97 1-0959 ~ ~ ~ `~~~OOUNIY,N~ u BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Testiny Address: 1275 Gabriella Ct City: Mattituck St: NY Zip: 11952 Building Permit 35645 Section: 10$ Block: 4 Lot: 7.36 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE contractor: DBA: Hubbard Electric LLC License No: 4709-me SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor X Pool New Renovation 2nd Floor X Hot Tub Addition X Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 14 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures 2 Smoke Detectors 1 Main Panel A/C Condenser Single Recpt Recessed Fixtures 10 CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture 1 Pumps Transformer Appliances Dryer Recpt 1-20 Emergency Fizture Time Clocks Disconnect Switches 17 Twist Lock Exit Fiztures TVSS otner Eguipment: 3-paddle fans, 1-wirlpool bath, 1-exhaust fan, 1-baseboard heat (electric) 1-GFCI protected disconnect for self contained hot tub Notes: < ~ Inspector Signature: ,w Date: Sept 23 2013 81-Cert Electrical Compliance Form.xls 12-il-os;1a: io s222o22~ # li 1 ~o~,pf SOUTyo~ Ttrvrn Hsll Mnex 'relePhrn¢(631}7fi5-1802 54375 Main Road ~ ~ Fu (4311765-9502 P.O. Box 1179 Southold, New YoA: t 1971-0959 /.f, l'fCManM BIlII.E)ING° DF.PAliI'MP.Nf TOWN OF $OITI'HOLD CrrR'fIFICATION Date:~~~ t ~ Z _ suudin~ Penrrit No. 3 5 e~~4S Pr's 3 3q~3 owner: T 1T[ r ~ (s ~ ~eSl ~ y ('1Please pant) Plumber: Jo S~~h TV o ~e.,~1 S.v S-C t. , c. ~ 3(014 ~MP (Pieria print) I certify that the folder aged in the water supply system contains less than 2/10 of 7 °!o lead. (Plumbers St~os[we) Swum( to befo~r~eQ/m~~e/th~is 3 day of~~I~~1('~. 20 ~ 7 ~~~i0~~~i~.Q/~(~ IEAN P. HEBBERD Notary Puhlic, State of New York No.5DAA676 Qu2lifirh in Suffolk County Gommissian Expires June 5, 20 Notary Public, _ ~~ounty ~o~~pF SOUTy~~ "~ouHn,'~' TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [FOUNDATION 1ST ROUGH PLBG. [ ]FOUNDATION 2ND INSULATION [ FRAMING STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: ~ r ~ c:~~ ~ _ ~ ' Gtivv,.Q c~.e ~ DATE 7 °2 ~ ~ INSPECTOR ~~i7"~~r~ ~o~.~,pf SOUTyo~ 339 ~3 z- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ~ FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRt1CT10N [ ]FIRE RESISTANT PENETRATION REMARKS: ~ ~/-/S_ o ~ DATE INSPECTOR ~o~y,OF SQUTy~~ 33 9 b3 ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-i 802 INSPECTION i [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION FRAMING STRAPPING [ ]FINAL ~ [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CON~S~TR~UfCTION [ ]FIRE RESISTANT PENETRATION REMARKS: v 1 DATE a ~ INSPECTOR ~ ho~y,OF SOpT~o~ TOWN OF SOUTHOLD BUILDING DEPT. d 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ J FOUNDATION 2ND [ ]INSULATION FRAMING STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FlRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: t 1.6z ~ 9 ~/s- ° P INSPECTOR ~ '~~~4-- DATE (p ~ ~ ~o~~,OF SO(/Tyo~ #®~F TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 NSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. [ ] F DATION [ ]INSULATION [ FRAMING TRAPPING [ • ]FINAL [ ]FIREPLACE & CNI [ ]FIRE SAFETY INSPECTION [ ] FlRE RESISTANT COWSTRl1CT10N [ ]FIRE RESISTANT PENETRATION REMA KS: ~~GJ w /~s„1,. DATE INSPECTOR - ~o~~,oe sooryO~ ~39~3 ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION ~J FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION FRAMING STRAPPING [ ]FINAL [ ]FIREPLACE & CIi1MNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONS7RUC1'ION [ ]FIRE RESISTANT PENETRATION REMARKS: ate-2.-,y~ c~-y~ 1~ ~ ~ INSPECTOR ~ DATE ~o~~,Of SOUTyo6 33 96 3 ~ TOWN OF SOUTNOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST /~ROUGFI PLBG. ~ [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FlRE RESISTANT CONSTRUCTION [ ]FlRE RESISTANT PENETRATION REMARKS: D'L- ~ o DATE / INSPECTOR ~ r ~o~.1,OF SOUTy06 33 ~ ~ 3 TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND ~ INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FlRE SAFETY INSPECTION [ ]FlRE RESISTANT CONSIRIICI'ION [ ]FlRE RESISTANT PENETRATION REMARKS: ~ ~ ~ C_ DATE a ,l~ INSPECTOR ~ ~ ~o~~OFSOUlyo~ +I'®f TOWN OF SOUTHOLD BUlLDI1~G DEPT. 765-i'802 IN ~-ION [ ]FOUNDATION 1ST [ ] R GN PLBG. [ ]FOUNDATION 2ND [ ~ INSULATION II [ ]FRAMING /STRAPPING [ ]FINAL II, [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FlaE aESISTANT coNSrnucnoN [ ] PIaE ai:S15TANT PENEiRAT10N RE ARKS:~~ ~ ~ ~ ~I ~ G ~~L DATE ~ ~ i INSPECTOR ho~~,Of SOUTyo~ 3S~'fS TOWN OF SOUTNOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST ~ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ] FlRE SAFETY INSPECTION [ ] RRE RESISTANT CO`N'~STRUCTION [ ] FIRE/R~ESISTANT PENETRATION REMARKS: ~x~' cry` DATE ~ ~ ~ INSPECTOR ~ 3 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. ' [ ]FOUNDATION 2ND [ ] INSU N [ ]FRAMING /STRAPPING [ INAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION [ l FlRE RESISTANT CONSTRUCTION [ ] FlRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: ~ DATE INSPECTOR 3s~ ~,~~T~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION ( ]FOUNDATION 1ST ( ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN TION ( ]FRAMING /STRAPPING FINAL [ ]FIREPLACE 8~ CHIMNEY [ ] FlRE SAFETY INSPECTION [ ] FlRE RESISTANT CONSTRUCTION [ ] FlRE RESISTANT PENETRATION [ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL) REMARKS: DATE l ~ INSPECTOR jr ~ ~ ,oaf SUUT,yo# l,~'~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION ( ]FRAMING /STRAPPING [ ]FINAL [ )FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION ( ]FIRE RESISTANT PENETRATION ( ]ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: DATE ~ ~ INSPECTOR ITECNOLOGIES 13193 MtinRad, MeplWdc, New Ymk 11952 631A98.1129 fix: 63/.298.1128 P.O.Box 93 Apri127, 2012 Building Department Town of Southold 53095 Main Road Southold, New York 11971 Re: Mr. & Mrs. Tesiny Alteration permit # 339632 1275 Gabriella Court Cutchogue, New York To Whom It May Concern: A few months back, Mrs. Tesiny called me to inspect the work her contractor had done in reference to Permit # 339632. I inspected one dug up footing and certify that it was done properly and bottom of footing was three foot below the surface. The other footings appeared to be similar. I inspected the deck, gazebo and trellis and made the following comment at the time. 1. Add collar ties and hurricane clips from rafters to header and clips from header to columns. 2. Add hurricane clips and brackets to the trellis to secure the rafters above to the top plate and secure the top plate to the column. Since that time her contractor came back and completed the work as noted above. I now certify the structures can handle the appropriate wind loads per the code. If you have any additional questions regazding this letter please give us a call at (631) 29$-1129. Please send all correspondences to: Frank Notaro P.O. Box 9~,.- Mattitu ~ ~ Th u, ~ , a Frank ~~1. O'{F'ry cY~ FLELD INS$ECTION REPORT ' DATE ; COMYDM4ENTS ~ ~ 1 ~ ~ v1 :!i ry ~ a FOU1VbATION (IST~ - ` a ~J i I~ ` i - a 1 FOU'NnATION (2?VD) ~ O I ~ ~ ,d ~ ~ - o ROtiGH FRAMIl~'G ~ ~ ( ~ PLL~II4G ti ~ ry~ ~ ~ - ~ w - - ~ \ x _ ~.eGJ ~ ~ ~ INETJLATION PER N. Y. ~ STATE ENERGY CODE ~ ~ _ ~ -2-9 9 ~ ~ -1 ~ FIiti AL 3 ~ ~ i e.J ~ ADDITIONAL CO TS E5/C> /~i G r . z _ ~ m ~nc~c~E1 ~ D _ ~ ,,a, D _ ~ ~ - (/~%-L- ~ z - ~ I x ro TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying'? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board appr va] FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. 3 3 3 ~ Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined, 20~ ~ I. Storm-Water Assessment Form p ~ Contact: Approved ~ ~ , 20 p 0 ~ Z ~ Mai] to: Disapproved a/c Phone: ~ 9~' I I T q Expiration , 20 ~ / / r,~C/~ Building Inspector APPLICATION FOR BUILDING PERMIT Date ~ , 20Q~_ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Petmit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) P O. ~k ~ 3 M ~TT1TtX'.K, N4 114 S„? , (Mailing address of applicant) State whether applicant is owner, ]essee, agent, architect, engineer, general contractor, electrician, plumber or builder ~E ti?T Name of owner of premises A ~ 73 ~i ~ e ~ I (As on the to oll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. l . Location of land on which proposed work will be done: la'15 GA13~l~t,L1~ dT ~I~-TT I i UC'~ House Number Street Hamlet County Tax Map No. 1000 Section ~t78 Block~Lot pln 7.~~0 Subdivision Fjled Map No., ~ Lot _ 3 2. State existing use andi occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~\g,~11~G 'mi`l '~t-~`b\t~?~1~ ~r r~ b. Intended use and occupancy ~pe~'jl..~ '{~~D(T167L t4-~S f'.'k\6~ 4 GRR-RCS (~t~ ~o~~TR-~C~-1bx~ 3. Nature of work (check which applicable): New Building Addition ~ Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost ~1-f ~ Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. _ 7. Dimensions of e, ist~ng structures, if any: Front 5,~2' y Rear Jr~' ~ Depth Height r'~5 10 TO wSx~lumber of Stories ~ Dimensions of sarrie structure with alterations or additions: Front $a' LI Rear Depth n10~2"~ ~R"(o4i~'Jc. Height a5'tD"-ro w~ Number of Stories a H6~ 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front. ' ~~1y.5 ~ Rear ~ ~ Depth o2~7 t 10. Date of Purchase- Name of Former Owner ' / 11. Zone or use district in which premises are situated ~ - 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NOS , 13. Will lot be re-graded? YES_ NO_~Will excess fill be removed from premises? YES NO y- 14. Names of Owner of premises Address Phone No. Name of Architect rRFFIOIG t~~A-~l~ AddressP~.P~Ox~2~ NRttmY'1cPhoneNot^~'~I-c~~-1~-1)~_ Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ~ * IF YES, SOUTHOL:D TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? *YES NO~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? *YES NO~ * IF YES, PROVIDE .A COPY. STATE OF NEW YORK) SS: COUNTY OF_1 ~~e tOl~a ~F~ . being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the _ ~~(~L7r" (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this S day of ~~~1~1/l,t~f'_ 20 0 g Nota P~ lic o H. TANDY azure of A hcant ry tary Public, State Of New York ~ PP No. 01 TA6088001 qualified In Suffolk County Commisalon Expirea 01/13/20 s~ryO6 Taw Hall Annex ~ * Telephone (631) 765-1802 54375 Main Road roS1er.~.~.r1V.US P.O. Box 1179 Sowhold, NY 11971-0959 ~,/y~~,,~ ~+i1r111~~ BUA.DIN~ DBPARTMFNP TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: ~ Date: /a - - Company Name: J n L ~ C Name: v License No.: y Q - ~'1 ~ dress: J~ Q Phone No. - 7- - JOBSITE INFORMATION: (*Indicates required information) 'Name: ~ ~ Mr S ~ d ~ Q.5 f n "Address: ~ ~1 S" ~f.~c.hc~ l e..4 l Ci c.-~- M r~ ~~C~,~-N ~ 14 ~ ~^2 *Cross street: l ? Sn,zh S 1 a v~ *Phone No.: X 3 1 Z q~ 5~ 3(~ Permit No.: ~ Tax Map District: 1000 Section: ~'tT Bfock: Lot: *BRIEF DESCRIPTION OF WORK (Please Print Cfearty) ~4eck~-~c.. ~~~r ~.e~-K j ~o~~y..h L,b.t~.r,c~~.l ~'~,~Y.-~ (fie cis All chat Apply) ~ *Is job ready for inspection: NO Rough In Final *Do you need a Temp Certificate: YES NO Temp Information (If needed] ~ 1 *SeMoe Size: 1 Phase 3Phase 700 150 200 300 350 400 Other 'New Service: Re-connect Underground Number of Meters Change of Service Ovefiead Additional Information: PAYMENT DUE WITH APPLICATION a-~-~ 3 ~Gaco,~f_ 82<Requpst for Inspec0oo Force ~ C' o ~ 1 1 ITECNOLOGIES ARCfRT2CC[7RC PLANNING CONSiRUCf10N SBRVICPS 13403 Mam Road, Malrimek, New Yodc !1932 631.298.1129 fax: 631.298.1128 June 6, 2008 ! 5 Town of Southold ~ ~ 8 ~ Building Department Southold, N.Y. 11952 Re: Mr. & Mrs. A. Tesiny 1275 Gabriella Court Mattituck, New York 11952 Per requirements by New York State Residential Construction Code we certify that the design criteria is done per prescriptive design. All of the load calculations and structural plans comply with all of New York Construction Code based on (AF&PA) for One-Family Dwelling to the best of our knowledge. The new addition will be in compliance will New York State Energy Code. The existing residence will be modified from a three bedroom house to a four bedroom house. If you have any questions please contact our office at (631) 298-1129. Thank you for your time and consideration, Sincerely, ~ Frank Notaro ~~~14 3 ' ITECNOLOGIES ARCHI7ECTURC PLANNING CONSTRUCI'fON SERVICPS D ~ ~ ~ nn 13405 Main Road, Mattituck, New Yo$ 11952 U D 631.298.1129 fan: 631.298.1128 JUN 1 0 2010 MarCh31 ,2010 BLDG. DEPT. TOWN OF SDUiHDID Town of Southold Building Department Southold, N.Y. 11952 Re: Mr. & Mrs. A. Tesiny 1275 Gabriella Court Mattituck, New York 11952 Due to field conditions between the existing residence and the proposed addition, the following insulation items have been changed; A. The proposed addition ceiling envelope insulation will be changed to R-38 from R-30. B. The existing ceiling areas insulation on the second floor due to height restrictions will be R-25 (high density). C. All wall areas on the second floor will be R-15 (high density). These items were reviewed with John, their general contractor. If you have any questions please contact our office at (631) 298-1129. Thank you for your time and consideration, tea-- ~e5~~ ®qA -ye /kr I~C 9.~°. ? o~ * ~ C 1 2 , ` ~ rank otaro NEWS ~o~~pF SOUlyolo Town Hall Annex Telephone (631) 765-1 A02 54375 Main Road ~ ~ Fax (631) 765-9502 P.O. Box 1 l79 Southold, NY 11971-0959 ~ ~0 ~~y~OUNTV N~ BUILDING DEPARTMENT TOWN OF SOUTHOLD December 20, 2011 Alfred & Lisa Tesiny 1275 Gabriella Ct Mattituck, NY 11952 TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: *Note: Also see attached copy of inspection ticket dated 12/06/08. Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (Application needs to completed and paid) ~A fee of $50.00. Final Health Department Approval. Plumbers Solder Certificate. (AU permits involving piumnin9 after a/vaa) Trustees Certificate of Compliance. (Town Trustees #~s5-isgz) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. -Bob Fisher Final Landmark Preservation approval. BUILDING PERMIT: 35645 -Addition/Alterations - - ~C~'C °1 O~-z-}-'7 3~ TOWN OF SOUTHOLD PROPERTY RECORD CARD ~ OWNER STREET J Z~ 5 VILLAGE DIST. SUB. LOT I Z. ~ , . ACR. REMARKS "~~n~i le ~ fir' TYPE OF BLD. t~Fc1S1 IZq ~~-LJI~I~ ~~-~'s`~ ter ILL,- zv L_- ~ ~;T~ ~ PROP. CLAS _ $t ~ G' ~`~l _ Ong- ~,z~ t "if . ?LLz,l~,~rua€ LAND IMP. 1 TOTAL DATE _ I T p-~ ' ? ~Sft?S/ ~ /.~~'I, .SbD , ~~c~ 4_~ f ~~r. I P#- 3/992 sunroa'n additrarr%- G~ 3a--~~C~ 5'oa ~ V^i 3 ~So o S"o 3 a soo 95~ 55'x`0 : oz i 0 ~ 7 FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL _5 ~u ~a da~ N v9 1~. ~ R ~ R ~i° 8 Co 108.-4-736 9/06 ~r T vP. _ M. Bldg. Z ~f3~ ~ ~yo S- Sp tf &zp Foundation Ce ~C. Bath Dinette ruu Extension Basement canw~ .F Floors Kit. sae ,~11 Extension Ext. Walls f uRL Interior Finish L.R. Z x 7 = ~ ~ Zoo s Fire Place YeS Heat D.R. Patio Woodstove BR. c~ ~ r 2-~ = ~ 6 ~ SJ ~ y Dormer Fin. 8. Deck Attic 0 04 Rooms 1st Floor X 3 2 _ arao~ec ¢~-y = S?b ~ ~o Eby OrivewaY Rooms 2nd Floor O.B. POOI 3/ T-Grn..w s t ~?OO C~o*+T¢.Oe.>~etlo¢~ R9"'7roa. ~n~ S.v r~ C~v~ 754~ssr0 /may{!' V ip a~ is N o7 ~r . ' ~ ~ .Z ~ a ~ 98 . M Bldg. i - Foundation ~ Bath -r-- t u~~ Extension Basement rA"w'~ ~ ~ Floors i SLAB N SURVEY OF PROPERTY AT 11~ATTITUCK TOWN OF SOUTHOLD Lor 11 SUFFOLK COUNTY, N. Y. 1000-108-04-7.36 ,~'CAI,~ 1'=3~' OEL~ER 4, 1896 267.89' i MAY 6, 2006 N52'19'20'E ~ I MAY g -~-x--X-x- S7oCYlMiE /E'NCf ~ py 4.YN ~ .a~E t, lIGO~ ~ X-X-~-A`X X-A~-X-I.BYY f• ~ ~ ROW ~ I~ _ _ _ Y r c - N~r ,U p 4 O ~ ' ~ ~ f!1 N N ~ ~ k ~ 1~ + ~y a D x I ~ ~ zd sr ~a vaaaoseo ~ " ~ ~ ~ znd ru oE~c ~ _ N 24.3' LOT 12 Q CA1 y ~ a O ti O ~ ~ V O A t G0.00 ~ I ~ Qtr N RESERVED FOR F7/1URE UNj < o H?cHwAY DEDrcAnoN o I " ~ 700.27. I P,~EOF NFp~Y S52'19'20"W 244.54' S~o~N~. nnET~~~ * ~ s a~ { TERESA LANE ` ~.498M1$ ;f~ AREA=40,172 SQ. FT. ~ . 49s1e ANY ALIERA710N OR ADCITION TO TH/S SURVEY lS A NOLAT/ON P CONICS YOR , LOT NUMBERS REFER TO ""ELIJAHS LANE ESTATES, OF SECTION 72090E THE NEW YORK STA7E EDUCA710N LAW. (631) 765-5020 FAX (631) 765-1797 SECTION TWO" FILED IN THE SUFFOLK COUNTY EXCEPT AS PER SEC770N 7209-SUBDIVISION 2 ALL CERTlFlCA7IONS p. 0. BOX 909 CLERK'S OFFICE ON OCTOBER 8, 1996 AS FILE HEREON ARE VALlO FOR THIS MAP AND COPIES THEREOF ONLY IF ¦ =MONUMENT FOUND SAID MAP OR COPIES BEAR IHE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET 08-136 N0. 9912. • =KEBAB SET F4HOSE SIGNATURE APPEARS HEREON. SOU7HOL0, N. Y. 11971